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Provider 1184716672

NPI: 1184716672Share
Active Billing Period:2018-01→2024-11(83 months)

Total Paid

$15.6M

$15,621,143

Total Claims

241K

Beneficiaries

233K

1.0 claims/patient

Avg Cost/Claim

$65

Monthly Spending Trend

Yearly Spending

2018
$1.0M
+91%
2019
$1.9M
+17%
2020
$2.2M
-2%
2021
$2.2M
+29%
2022
$2.8M
-6%
2023
$2.7M
+5%
2024
$2.8M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (A4595) accounts for 41% of total spending.

A4595Top 5%

$6.4M

106K claims · 41.2%

Your Cost: $60.75/claim|Median: $17.27
3.5× median
E0730Top 25%

$1.5M

11K claims · 9.7%

Your Cost: $136.99/claim|Median: $52.06
2.6× median
L0650Normal range

$772K

1,375 claims · 4.9%

Your Cost: $561.26/claim|Median: $339.16
1.7× median
L1833Normal range

$598K

1,683 claims · 3.8%

Your Cost: $355.23/claim|Median: $278.90
1.3× median
A6549Normal range

$522K

2,218 claims · 3.3%

Your Cost: $235.16/claim|Median: $190.50
1.2× median
E0240Normal range

$513K

6,786 claims · 3.3%

Your Cost: $75.62/claim|Median: $62.75
1.2× median
T4541Top 25%

Pediatric-sized disposable incontinence product, large

$483K

8,751 claims · 3.1%

Your Cost: $55.25/claim|Median: $41.28
1.3× median
K0001Top 10%

Standard wheelchair

$466K

16K claims · 3.0%

Your Cost: $29.65/claim|Median: $12.27
2.4× median
T4535Top 25%

Adult-sized disposable underpads/pads, large

$387K

5,733 claims · 2.5%

Your Cost: $67.46/claim|Median: $42.03
1.6× median
E0143Top 25%

Walker, folding, wheeled, adjustable or fixed height

$359K

8,091 claims · 2.3%

Your Cost: $44.39/claim|Median: $31.59
1.4× median
K0003Top 25%

$311K

7,387 claims · 2.0%

Your Cost: $42.03/claim|Median: $18.14
2.3× median
E0118Top 5%

$256K

1,439 claims · 1.6%

Your Cost: $177.68/claim|Median: $40.16
4.4× median
T4527Normal range

Adult-sized disposable incontinence product, large

$250K

3,333 claims · 1.6%

Your Cost: $74.91/claim|Median: $99.53
0.8× median
T4526Normal range

Adult-sized disposable incontinence product, medium

$195K

3,463 claims · 1.2%

Your Cost: $56.19/claim|Median: $88.94
0.6× median
T4528Normal range

Adult-sized disposable incontinence product, extra-large

$186K

2,485 claims · 1.2%

Your Cost: $74.95/claim|Median: $105.14
0.7× median
A4670Normal range

$185K

3,433 claims · 1.2%

Your Cost: $53.83/claim|Median: $50.23
1.1× median
E0295Normal range

$178K

3,264 claims · 1.1%

Your Cost: $54.55/claim|Median: $41.43
1.3× median
L3908Normal range

$172K

4,772 claims · 1.1%

Your Cost: $36.06/claim|Median: $35.79
1.0× median
L3809Normal range

$156K

1,347 claims · 1.0%

Your Cost: $115.94/claim|Median: $115.28
1.0× median
L2810Top 25%

$131K

1,625 claims · 0.8%

Your Cost: $80.77/claim|Median: $46.54
1.7× median
K0006Top 25%

$126K

1,871 claims · 0.8%

Your Cost: $67.43/claim|Median: $31.81
2.1× median
A6545Top 5%

$126K

448 claims · 0.8%

Your Cost: $281.24/claim|Median: $70.25
4.0× median
T4524Normal range

Adult-sized disposable incontinence product, brief/diaper, medium

$125K

1,394 claims · 0.8%

Your Cost: $89.62/claim|Median: $108.31
0.8× median
T4537Top 10%

$121K

1,576 claims · 0.8%

Your Cost: $76.98/claim|Median: $31.50
2.4× median
T4523Normal range

Adult-sized disposable incontinence product, brief/diaper, small

$112K

1,303 claims · 0.7%

Your Cost: $86.28/claim|Median: $96.13
0.9× median
E0156Top 25%

$86K

7,510 claims · 0.6%

Your Cost: $11.46/claim|Median: $7.15
1.6× median
E0163Top 25%

$70K

1,406 claims · 0.4%

Your Cost: $49.95/claim|Median: $27.98
1.8× median
A4927Top 25%

Gloves, non-sterile, per 100

$68K

2,667 claims · 0.4%

Your Cost: $25.55/claim|Median: $12.90
2.0× median
T4525Normal range

$66K

1,007 claims · 0.4%

Your Cost: $65.97/claim|Median: $79.46
0.8× median
E2611Top 10%

General wheelchair seat cushion, width less than twenty-two inches

$60K

340 claims · 0.4%

Your Cost: $177.73/claim|Median: $61.71
2.9× median
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